Minnesota HF3123 sets requirements for calculating an enrollee's contribution toward cost-sharing and out-of-pocket maximums in health insurance.
Minnesota HF3123 mandates that health plan companies and pharmacy benefit managers include all payments made by or on behalf of an enrollee when calculating the enrollee's contribution to cost-sharing and out-of-pocket maximums. This includes payments for prescription drugs covered under the health plan, whether under a medical or pharmacy benefit. The bill ensures that these calculations only apply after the enrollee has met their plan deductible.
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- Critical Issues
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